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Advance payments
Medical Economics, 08/19/08
Martin V - Advance payments are made to practices and accelerated payments are made to hospitals. The advance payment to practices is not based upon the amount of claims in processing limbo, but rather on the financial need of the practice until the issues can be resolved. The amount of money advanced is at the discretion of CMS, and the decision cannot be appealed. Advance payment requires that the practice has done everything correctly to ensure that claims will be paid, but the Medicare contractor is unable to process the claims.
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